Enterocolitis - Causes, Symptoms and Treatment .MF .
Enterocolitis - symptom complex characterized by lesions of the mucous membrane of small and / or large intestine, inflammatory or non-inflammatory nature.The disease may debut at any age, it is subject to equally male and female.The prevalence in the population is comparatively high 15 to 35 percent.When enterocolitis may be affected by various portions of the gastrointestinal tract, from the stomach to the large intestine and ending direct department.
Since enterocolitis is a symptom complex it can develop in several diseases: Many intestinal infections may be accompanied by a enterocolitis, which is characterized by symptoms of both upper and lower gastrointestinal tract, as well as separately.It is often combined with enterocolitis, gastritis (inflammation of the mucous membrane of the stomach), gastroehnterokolitah, especially when intestinal infections.Depending on enterocolitis causes inflammation may occur in the acute and in the chronic form.
enterocolitis reasons are
- Almost 80% are diverted to the intestinal infection caused by various organisms, most often it is conditionally pathogenic E. coli, which is normally present in all people in the gut, salmoneleznaya infection, enterovirus infection.
- Parasitic infestations, various protozoa (opistorhoz, trichomonazice and amebic parasites) that penetrate the intestine with poorly processed food, fish, meat.
- Toxic causes enterocolitis currently increasingly began to meet, it refers to poisoning low-quality alcohol, drugs, household pesticides.
- incorrect and poor nutrition in combination with stress can also lead to an inflammatory response in the intestine.
- non-inflammatory disorder an allergic or autoimmune (ulcerative colitis, irritable bowel syndrome).
symptoms of enterocolitis.
ENTEROCOLITIS acute course characterized by sudden appearance of symptoms, such as an attack of acute arching abdominal pain, diarrhea occurs (frustration of a chair) of varying severity, various impurities in the stool (blood, mucus, pus).Perhaps flatulence, rumbling in the stomach, vomiting as the delayed and had just eaten food.
When enterocolitis infectious nature very often suffers the general condition of the body, the body temperature rises, there are signs of intoxication, severe weakness, drowsiness, headache, pain in muscles and joints.All this testifies to the progression of the infection process.
For enterocolitis chronic course characterized by a variety of manifestations of pain.He begins varies depending on the time of day (amplified at night and the morning), can have a relationship with food intake or an act of defecation (pain relief after a bowel movement).Pain intensity may depend on the location of the main pathologic process.For the large intestine characterized by severe acute pain decreases after a bowel movement, and for the small intestine, a long flowing moderately expressed.
With long flowing process occur constipation, which can alternate with loose stool.
Weight loss - a very common symptom, which occurs in many diseases, it is very important at the time to pay attention to it.Weight goes for a number of reasons: when the small intestine is affected and the organism ceases to receive important elements for life, another reason is that people suffering from enterocolitis, start to limit yourself to food.
When diarrhea or vomiting should contact your doctor, as self-traditional methods are not always able to lead to a cure.Infectious enterocolitis, which runs quite easily and treated quickly and effectively can be confused with terrible diseases such as Crohn's disease and ulcerative colitis, necrotizing.These diseases are more severe and often lead to disability.To distinguish them quite difficult and only possible by using special methods of diagnosis.Very often congenital absence of enzymes responsible for the breakdown of any substance (fermentopathy), may occur with severe enterocolitis diarrhea syndrome.In these cases it is necessary to determine the enzyme and simply excluded from the diet or those other products.
diagnose infectious enterocolitis simply, if the day before you ate no fresh food.From laboratory methods will help your doctor make an accurate diagnosis coprogram, bacteriological examination of feces and the data of your general condition.For more detailed investigation and differential diagnosis can be applied rektoramanoskopii, colonoscopy and other radiological imaging the gastrointestinal tract, they will help locate the affected areas of the intestine, the possible narrowing or expressions.During the invasive methods of diagnosis can be carried out of the affected area of tissue sampling for more detailed examination.During the biochemical analysis of blood would be a violation of protein and lipid balance.In coprogram fragments of undigested proteins, fats and carbohydrates, as well as the accumulation of white blood cells.
Treatment of enterocolitis.
The treatment is very important to establish a direct cause of the disease.With infectious enterocolitis acute course you want to start treatment with antibiotic therapy, the choice of antibiotic will depend on the type of pathogen that caused the inflammation.Most often used cephalosporins 2 or 3 generations, sometimes prescribe a combination of drugs with penicillin.In severe loss of body fluids during a loose stool and vomiting need to increase fluid intake to avoid dehydration.It may be herbal teas, compotes from dried fruits, but not coffee, strong tea and sodas.Effective as aids microclysters decoction of chamomile, oak bark, St. John's wort and wild cherry.When expressed pain sensations can be assigned antispasmodics.For normolizatsii digestion fermentosoderzhaschie prescribed drugs (mezim - forte, pancreatin, Creon), for the prevention of dysbiosis pro- and uebiotiki (Biovestin).Treatment of enterocolitis are not infectious nature may occur only under a doctor's care: it can be a gastroenterologist, a doctor, surgeon or therapist.Treatment of this group of diseases is very complex and multi-component, it may be necessary not only medication, but surgery.Clinical nutrition in combination with physiotherapy and proper lifestyle can help to achieve a more rapid recovery.
dietary recommendations with enterocolitis.
Clinical nutrition plays an important role in the treatment of this group of diseases.It is necessary to eliminate the burden on the intestines, removing from the diet for a long time, products that increase peristalsis (rough vegetable fibers, dairy products, sweet products).Nutrition should be a fraction, and often up to 5-6 times a day, you need to eat food in small portions.
Possible complications and prevention of enterocolitis.
on time diagnosis and correctly chosen treatment will reduce the risk of enterocolitis complications by 93%.In late begun treatment or self-treatment of the intestine occurs the risk of perforation with peritonitis and life-threatening.If there is a risk of non-communicable enterocolitis partial bowel resection with imposing unnatural anus, or the formation of kallostomy.
Prevention of enterocolitis is balanced, proper nutrition, exclusion from the diet of a thermally processed food is bad, especially in endemic areas.Early treatment of infectious diseases, taking antibacterial drugs is strictly indicated.
therapists Zhumagazy EN